Mrs Tracy Elaine Hickman, CRC, LPC, LCAS - Counselor in Charlotte, NC

Mrs Tracy Elaine Hickman, CRC, LPC, LCAS is a Counselor - Mental Health based in Charlotte, North Carolina. Mrs Tracy Elaine Hickman is licensed to practice in North Carolina (license number 3194) and her current practice location is 5820 E Wt Harris Blvd, Suite 211, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 566-3410.

NPI number for Mrs Tracy Elaine Hickman is 1851611404 and her current mailing address is 5820 E Wt Harris Blvd, Suite 211, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851611404.

Contact Information

Mrs Tracy Elaine Hickman, CRC, LPC, LCAS
5820 E Wt Harris Blvd, Suite 211,
Charlotte, NC 28215-3541
(704) 566-3410
(704) 537-1226

Map and Direction


Healthcare Provider's Profile

Full NameMrs Tracy Elaine Hickman
GenderFemale
SpecialityCounselor - Mental Health
Location5820 E Wt Harris Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851611404
  • Provider Enumeration Date: 06/06/2010
  • Last Update Date: 06/06/2010

Medical Identifiers

Medical identifiers for Mrs Tracy Elaine Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851611404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1583 (North Carolina)Secondary
101YM0800XCounselor - Mental Health 3194 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tracy Elaine Hickman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tracy Elaine Hickman, CRC, LPC, LCAS
5820 E Wt Harris Blvd, Suite 211,
Charlotte, NC 28215-3541

Ph: (704) 566-3410
Mrs Tracy Elaine Hickman, CRC, LPC, LCAS
5820 E Wt Harris Blvd, Suite 211,
Charlotte, NC 28215-3541

Ph: (704) 566-3410

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